Chiropractic massage is quite different from other forms of massage. All types of massage are important for the healing process but chiropractic massage has a wider scope and can sometimes have greater benefits from other forms of massage. Unlike licensed massage therapists, chiropractors are considered 'primary health care providers'. Chiropractors specialize in the release of subluxations in the spine, for the purpose of the nervous system and body is operating at a good level. Chiropractors are doctors that need a four-year undergraduate education and also a four-year doctorate of chiropractic program, and also participate in a residency program, pass rounds boards and certification test, while taking classes in physics/biology/anatomy/physiology/chemistry. Licensed Massage therapists usually complete 500 hours of training, and take continuing education classes depending on the state.